Individual
MS. NICHOLE LEONE VEAUDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
159 W 1ST ST, OSWEGO, NY 13126-2045
(315) 342-9575
Mailing address
117 DARLINGTON RD, SYRACUSE, NY 13208-3009
(315) 876-0159
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
006372-1
NY
Other
Enumeration date
10/31/2008
Last updated
10/31/2008
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